2. WHY THIS TRAINING? OSHA & Texas Department of State Health Services Bloodborne Pathogen Standard OSHA and TDSHS requires anyone whose job may result in exposure to BB pathogens to complete the training ( OSHA BBP regulations are found in 29CFR 1910.1030) (TDSHS BBP regulations are found in TX Health & Safety Code 81.304)

3. WHY THIS TRAINING? ACC also has a BBP Program that must be followed. It can be found at the EHS On- line Safety Manual in the Bio-hazard/ Blood Borne Pathogens section… www.austincc.edu/ehs/safetymanual Remember: The more you know, the better you will perform in real situations!

4. 6 Course Objectives 1.Know what Bloodborne pathogens are 2.Recognize potentially contaminated material 3.Identify exposure routes 4.Know how to protect yourself 5.Know what to do if you are exposed 6.Know how to clean up a spill

5. What is a BB Pathogen? Microorganisms that are carried in the blood that can cause disease in humans

6. Common BB Pathogen Diseases Malaria Brucellosis Syphilis Hepatitis B (HBV) Hepatitis C (HCV) Human Immunodeficiency Virus (HIV)

7. Human Immunodeficiency Virus - (HIV) The virus that cause AIDS Depletes your immune system Does not survive well outside the body Will not catch HIV through casual contact Further information on HIV can be found at www.cdc.gov

8. Human Immunodeficiency Virus - (HIV) Many people infected with HIV have no symptoms for 10 years or more Following symptoms may be warning signs of advanced HIV infection: –Rapid Weight LossDry Cough –Recurring FeverProfuse Night Sweats –FatigueSwollen Lymph Glands –Diarrhea for more than 1 weekPneumonia –Red, brown, pink, or purplish blotches on or under the skin or inside the mouth nose or eyelids –White spots or unusual blemishes on the tongue, or in the mouth or throat

9. Hepatitis B (HBV) Estimated over 1.2 million Americans are chronically infected May cause chronic liver disease, liver cancer, and death Virus can survive up to one week in dried blood – sometimes longer!

10. Hepatitis B (HBV) Symptoms can occur 1- 9 months after exposure & include: -jaundice-fatigue -vomiting-loss of appetite -intermittent nausea-abdominal pain

11. Hepatitis B (HBV) 4 out of 100 people have the virus and can pass it on to others 6 out of 100 who become infected develop a life-long, chronic Hepatitis B infection 12 week incubation period Impossible to diagnosis without a blood test Can be prevented with a vaccine

12. HBV Vaccinations Vaccine available since 1982 Yeast-based vaccine – not a live virus Series of 3 shots given over 6 months – –Get 1 st shot –2 nd shot - one month later –3 rd shot - six months after first Further information on HBV can be found at www.cdc.gov

13. Hepatitis C (HCV) The most common chronic blood borne infection in the United States Estimated over 3.2 million Americans have Hepatitis C infection May lead to chronic liver disease and death Symptoms include: jaundice, fatigue, abdominal pain, loss of appetite, intermittent nausea, vomiting

14. Hepatitis C (HCV) 75% of people have no symptoms Incubation period is about 7 weeks Most infected people are unaware until 20 years later when liver is severely scarred Impossible to diagnosis without blood test

15. Hepatitis C (HCV) 12 out of 100 people have HCV and can pass the virus on to others Vaccine not available for hepatitis C Further information on HBC can be found at www.cdc.gov

16. Potentially Infectious Bodily Fluids Saliva Urine Semen or vaginal secretions Any other bodily fluids ‘OPIM’ (Other Potentially Infectious Material) Blood Vomit Skin tissue, cell cultures

17. How are BBP transmitted? When blood or OPIM contacts: CutsAbrasionsBurns RashesPaper cutsHangnails Eyes Puncture woundsAcne Mucous Membranes Cuts from contaminated sharps Any open skin surface !!

18. Possibility of Exposure Incidents  Administering first aid  Post-accident cleanup  Janitorial or maintenance work  Handling of any Bio-waste products  Industrial accidents

19. Universal Precautions o Treat ALL blood and bodily fluids as if they are contaminated o Always use proper PPE, cleanup procedures & decontamination o Dispose of all contaminated material in the proper manner

20. Personal Protective Equipment (PPE) Anything used to protect a person from exposure o Latex or Nitrile gloves, o Goggles, o CPR mouth barriers, o Aprons o Respirators

21. PPE - Rules to Remember o Always check gloves / PPE for defects or tears o Replace torn or defective gloves immediately o Remove PPE before leaving a contaminated area o Do not reuse disposable equipment o Discard all contaminated PPE in red Bio-hazard bags

22. Choosing appropriate PPE For small spills & areas of contamination, use safety glasses and butyl nitrile gloves For larger areas of contamination with greater potential for contact from splashes, Tyvek coveralls, face shields or face masks should be worn along with gloves and safety glasses.

23. Handling Sharps Safely Never throw sharps in the trash Dispose of sharps (needles, broken glassware, scalpels, etc) in marked containers immediately after done with first aid or clean up activity

24. Decontamination When cleaning up surfaces use 10% bleach solution or approved disinfectant Do an initial wipe up Spray spill or contaminated area, allow disinfecting solution to stand for 15 minutes, and then wipe up Dispose of used rags in bio-hazard containers

25. Decontamination Put all wipes in biohazard containers Put PPE and any contaminated, disposable cleaning equipment biohazard containers

26. Biohazard Spill Clean-up Always wear appropriate PPE Clean up spill immediately Use tongs, broom and dust pan, or two pieces of cardboard to pick up sharp objects – Don’t use bare hands! Dispose of absorbent material in Biohazard bag Flood area with disinfectant solution Let solution sit for at least 15 minutes

27. Hand Washing Wash hands immediately and thoroughly after removing PPE Use a soft antibacterial soap A hand sanitizer can be used, but still wash with soap and water as soon as possible

28. Hand Washing Always wash your hands: –After touching any blood or OPIM –After touching a contaminated item or surface –As soon as removing gloves –Before eating, drinking, smoking, or using the restroom

29. Definition: Regulated Medical Waste Liquid or semi-liquid blood or other potentially infectious material (OPIM) Contaminated items that would release blood or OPIM when compressed or squeezed Contaminated sharps Pathological and microbiological waste containing blood or OPIM

30. Signs & Labels Labels must include the universal biohazard symbol, and the term “Biohazard” must be attached to: containers of regulated biohazard waste refrigerators or freezers containing blood or OPIM containers used to store, transport, or ship blood or OPIM

31. Using Sharps Containers Dispose of sharps containers when they are 2/3 full Never force an item into a sharps container Never reach into a sharps container Never open, empty, or reuse a sharps container

32. Exposure Incident A specific incident of contact with potentially infectious bodily fluid Infiltrations of mucous membranes or open skin surfaces, as well as puncture wounds from sharps, are exposures

33. Exposure Incident Report all incidents involving blood or bodily fluids to supervisor within 1 hour Post-exposure medical evaluations and follow-up offered to employees at no charge

34. ACC Post-exposure procedures  Responsibility of employee to notify supervisor within ONE (1) hour of exposure  Responsibility of the supervisor is to contact EHS within ONE (1) hour after notified of exposure  Following the report of an exposure, the employee will be sent for a confidential medical evaluation and follow-up

35. Post Exposure Evaluation If exposed and sent for medical evaluation, do not have the results sent to ACC’s EHS department. We do not need to have access to your personal medical records. DO follow up with your doctor to find out results and recommended treatment, if any

36. What if you are exposed? SKIN: Wash the area with soap and water for an extended time MOUTH: Rinse with water or mouthwash EYES: Flush with warm water for 15 minutes

37. What if you are exposed? A medical evaluation is to be made immediately available to the employee who has occupational exposure –Evaluation SHALL be confidential –It must protect your identity and test results –There is no charge to employee

38. Post-exposure Evaluation Procedures Consist of A confidential medical evaluation Documenting routes of exposure Identifying whose blood was involved (source) Test source individuals blood (with individuals consent) Provide test results to exposed employee

39. Recordkeeping Requirements Medical Records include: Hepatitis B vaccination status Any post-exposure evaluation and follow-up results Training Records include: Training dates Contents of the training Signature of trainer and trainee

40. Hepatitis B Vaccination Strongly endorsed by medical communities Offered to all potentially exposed employees Provided free to employees Declination form - Must sign one if you don’t want vaccine

41. Hepatitis B Vaccinations ACC Employees whose duties could result in potential exposure to blood borne pathogens are known as Category I or II employees. Category I or II employees are entitled to receive the Hepatitis B Vaccine at no charge

42. ACC Category I & II Employees 1. All Campus Police Employees 2. Building Attendants/Supervisors 3. Childcare: All Personnel & Students 4. EHS Personnel 5. Science Lab Assistants and Biology Faculty teaching courses involving human blood or other tissues 6. Students in above biology courses 7. Laboratory Animal Caretakers 8. Health Sciences Department - Lab Technicians - Surgery Tech - Dental Hygiene - EMS - Med Lab - Veterinarian Tech - Kinesiology - Faculty and Students

43. NOTICE TO CATEGORY I OR II EMPLOYEES: To receive credit for this on-line class, you must submit a signed Vaccination Acceptance/Declination form with your test score page to David Watkins at EHS ! Acceptance/Declination form Link: Open link, Print form, Sign and Date http://accweb.austincc.edu/ehs/pdf/HBVVaccinedeclinationacceptanceform22010.pdf (NOTE: Form will open in a new browser window)

44. HBV Vaccine Acceptance/ Declination Form Complete the top portion of the form... PRINT your:  Name  Work Campus  Job Title  Supervisor’s Name

45. Hepatitis B Vaccinations Employees who DO NOT wish to receive the Hep B vaccination still must sign a declination form stating they do not want the vaccination at this time.  NOTE: You may change your mind at any time – Just contact the EHS Office and request a Hepatitis B vaccination.

46. Don’t want the vaccination? If you do not want to receive the Hepatitis B Vaccination at this time Sign and Date the Declination Section at the beginning of the form. Remember: Should you change your mind in the future, simply contact the EHS office and let us know

47. Hepatitis B Vaccinations Those employees who DO wish to receive the Hepatitis B vaccination – Sign & Date the form as shown in next slide Send to David Watkins, SVC 181 with test score EHS will contact you

48. Want the vaccination? If you do want the Hepatitis B Vaccine, or if you have already been vaccinated but would like to have blood drawn to see if the vaccine is still working… Sign and Date the Acceptance Section in the middle of the form. Once received by the EHS Office we will contact you to provide further information and authorize the vaccination.

49. Hepatitis B Vaccinations Category I or II employees who wish to be vaccinated will be contacted by EHS with more information once we receive your signed acceptance form. We will arrange a meeting with you to provide authorization to receive the vaccine and complete the bottom section of the form at that time

50. In Conclusion…. This training should have you prepared to – Know what Bloodborne pathogens are Recognize potentially contaminated material Identify exposure routes Know how to protect yourself Know what to do if you are exposed Know how to clean up a spill

51. In Conclusion…. BB pathogen policies are in place for your safety and to protect your health Failure to follow them is a serious risk that does not need to be taken Remember: If it isn’t your body fluid, don’t touch it!!

52. In Conclusion…. Austin Community College’s Blood Borne Pathogen Plan can be found at: http://www.austincc.edu/ehs/pdf/ACC%20Bloodborne%20Pathoge n%20Program%20Guideline-Procedure%20ASC%209.pdf (NOTE: Policy will open in a new browser window)

53. Complete the Quiz Click on the URL below –http://www.austincc.edu/hr/profdev/eworks hops/bbp/quiz/bbp.htmlhttp://www.austincc.edu/hr/profdev/eworks hops/bbp/quiz/bbp.html

54. QUESTIONS? Call or email: David Watkins Austin Community College Environmental Health & Safety 512-223-1034 or rwatkin1@austincc.edu